NPIMap

Organization Active NPI

Northern Illinois Foot & Ankle Specialists, LTD

  • Foot & Ankle Surgery Podiatrist
  • Western Springs, IL
National Provider Identifier
1972391241
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
NORTHERN ILLINOIS FOOT & ANKLE SPECIALISTS, LTD
Practice address
608 Hillgrove Ave
Western Springs, IL 60558-1476
Phone
(847) 639-5800
NPI assigned
Apr 28, 2025
Organization subpart
Yes
Parent organization
NORTHERN ILLINOIS FOOT & ANKLE SPECIALISTS, LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Patrick Allen McEneaney, DPM
Title
Presiden/Ceo
Phone
(847) 639-5800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

608 Hillgrove Ave
Western Springs, IL 60558-1476

Mailing address

750 E Terra Cotta Ave Ste C
Crystal Lake, IL 60014-3621
Phone (815) 671-4515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250624001251 IL DME Supplier - Physician - Podiatry 1355566183 Practice locations: Western Springs, IL

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Northern Illinois Foot Ankle Specialist LTD5 organizations share this tax ID, including this one
Part of
Northern Illinois Foot Ankle Specialist LTD

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1972391241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E TERRA COTTA AVE STE C",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143621",
            "telephone_number": "815-671-4515",
            "fax_number": "815-671-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 HILLGROVE AVE",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "605581476",
            "telephone_number": "847-639-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ILLINOIS FOOT & ANKLE SPECIALISTS, LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHERN ILLINOIS FOOT & ANKLE SPECIALISTS, LTD",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "MCENEANEY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDEN/CEO",
        "authorized_official_telephone_number": "847-639-5800",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Western Springs, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.